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[痴呆症患者亲属作为急症医院中的联系人和调解人]

[Relatives of patients with dementia as a link and mediator in acute care hospitals].

作者信息

Greskötter Jasmin M

机构信息

Department für Pflegewissenschaft, Universität Witten/Herdecke, Witten, Deutschland.

出版信息

Z Gerontol Geriatr. 2021 Nov;54(7):651-658. doi: 10.1007/s00391-021-01892-w. Epub 2021 Apr 20.

DOI:10.1007/s00391-021-01892-w
PMID:33877443
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8551104/
Abstract

BACKGROUND

The needs of patients with dementia can hardly be met in an organization- and process-oriented acute care hospital. In order to create a successful interaction between patients and hospital staff, the importance of relatives as a link and mediator is considered.

OBJECTIVE

From publications on similar topics, it is deduced which conditions relatives need in order to be able to act as a link and mediator.

MATERIAL AND METHODS

A systematic search was conducted in the databases of Medline (PubMed), Cochrane, CINAHL, and GeroLit.

RESULTS

From the available literature, the reasons for the accompaniment by relatives can be outlined, their activities in the acute care hospital can be described and hindering and supporting factors can be presented.

CONCLUSION

Relatives already act as a link and mediator between patients with dementia and hospital staff. In doing so they act as advocates for the patient and are available to the professionals as experts and advisors. To accomplish this task, there are conditions that support or hinder the mediation activity.

摘要

背景

在以组织和流程为导向的急症医院中,痴呆症患者的需求很难得到满足。为了在患者与医院工作人员之间建立成功的互动,亲属作为联系人和调解人的重要性得到了重视。

目的

从类似主题的出版物中推断出亲属为能够充当联系人和调解人所需的条件。

材料与方法

在Medline(PubMed)、Cochrane、CINAHL和GeroLit数据库中进行了系统检索。

结果

从现有文献中,可以概述亲属陪同的原因,描述他们在急症医院中的活动,并呈现阻碍和支持因素。

结论

亲属已经在痴呆症患者与医院工作人员之间充当联系人和调解人。在此过程中,他们充当患者的代言人,并作为专家和顾问为专业人员提供帮助。为了完成这项任务,存在支持或阻碍调解活动的条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec16/8551104/1e842a3d9cfb/391_2021_1892_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec16/8551104/e3c700b6e3b0/391_2021_1892_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec16/8551104/1e842a3d9cfb/391_2021_1892_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec16/8551104/e3c700b6e3b0/391_2021_1892_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec16/8551104/1e842a3d9cfb/391_2021_1892_Fig2_HTML.jpg

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本文引用的文献

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[The Healthcare Teams' Perspective on Caring for People with Dementia in Acute Hospitals: A Qualitative Study].[医疗团队对急性医院中痴呆症患者护理的看法:一项定性研究]
Pflege. 2020 Feb;33(1):25-33. doi: 10.1024/1012-5302/a000708. Epub 2019 Oct 28.
2
[Dementia sensitivity in acute care hospitals : Why the implementation is so difficult, and how it can nevertheless succeed].[急症医院中的痴呆症敏感性:为何实施如此困难,以及如何仍能取得成功]
Z Gerontol Geriatr. 2019 Nov;52(Suppl 4):291-296. doi: 10.1007/s00391-019-01631-2. Epub 2019 Oct 18.
3
The impacts of family involvement on general hospital care experiences for people living with dementia: An ethnographic study.
家庭参与对痴呆症患者综合医院护理体验的影响:一项民族志研究。
Int J Nurs Stud. 2019 Aug;96:72-81. doi: 10.1016/j.ijnurstu.2019.04.004. Epub 2019 Apr 13.
4
Informal carers' perspectives on the delivery of acute hospital care for patients with dementia: a systematic review.非专业照护者对痴呆症患者急性医院护理服务体验的观点:系统综述。
BMC Geriatr. 2018 Jan 25;18(1):23. doi: 10.1186/s12877-018-0710-x.
5
How to Write a Systematic Review of the Literature.如何撰写文献系统综述。
HERD. 2018 Jan;11(1):15-30. doi: 10.1177/1937586717747384. Epub 2017 Dec 28.
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Physical Abuse of Elderly Adults: Victim Characteristics and Determinants of Revictimization.老年人身体虐待:受害者特征及再次受虐的决定因素
J Am Geriatr Soc. 2017 Jul;65(7):1420-1426. doi: 10.1111/jgs.14794. Epub 2017 May 9.
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Gerontologist. 2018 Jul 13;58(4):644-653. doi: 10.1093/geront/gnw265.
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